Dr. Richard E Bazan, M.D.
Anesthesiology in West Palm Beach, FL. Individual provider (NPI-1).
NPI number1720370620
StatusActive
Last updated in NPPESDec 1, 2015
Details
- NPI
- 1720370620
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard E Bazan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2011
- Last updated
- Dec 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | ME125534 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2201 45th StreetWest Palm Beach, FL 33407
Phone 305-298-7016
Mailing address
1613 N. Harrison ParkwaySuite 200, Mailstop Sh9a
Sunrise, FL 33323-2896
Phone 954-838-2371 · Fax 954-851-1746
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